One Stage Conversion of an Infected Fused Knee to Total Knee Replacement - A Surgical Challenge

Abstract

Background and Purpose:Two-stage revision arthroplasty is a common technique for the treatment of infected total knee replacement. Few reports have addressed the conversion of a fused knee into a total knee replacement. However, there is no case reported of converting an infected fused knee into a hinge knee using a one-stage procedure.Methods:We report on a 51-year old male patient with an infected fused knee after multiple surgeries.Results and Interpretation:A one-stage conversion of septic fused knee into total knee arthroplasty by a rotational hinge prosthesis was performed. The case highlights that with profound preoperative assessment, meticulous surgical technique, combined antibiotic treatment and the right implant, one-stage revision in a surgical challenge may have a role as a treatment option with good functional outcome.

Conversion From Knee Arthrodesis Back to Arthroplasty: A Particular Challenge in Combination With Fungal Periprosthetic Joint Infection

“…Ravikumar et al. [ 32 ] showed the successful conversion of an infected fused knee to TKA. In our patient, successful infection eradication as measured by the Delphi-based consensus definition was achieved.…”